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The one crucial screening that could save your life

By CLAUDIA BERMUDEZ-HYUN, The Philippine STAR Published Jun 13, 2023 5:00 am

Regular health screenings are crucial for maintaining optimal well-being, but the one screening that holds tremendous life-saving potential is the feared colonoscopy. While it may be an uncomfortable topic to discuss, the reality is that colorectal cancer is a significant health concern, and early detection through this procedure can make all the difference in preventing and treating it. 

Dr. Michael Wallace, a Mayo Clinic gastroenterologist, shares: “About one in 20 individuals will be diagnosed with colorectal cancer in their life. We have the technology right now to prevent colorectal cancer. And we must ensure that everybody knows its importance and gets screened for it.” Knowledge is power. 

The often-avoided colonoscopy holds tremendous lifesaving potential.

Understanding colorectal cancer 

To fully grasp the significance of a colonoscopy, it is essential to understand the nature and impact of this disease. Colorectal cancer is the third most common cancer worldwide and the second leading cause of cancer-related deaths. It affects both men and women, with the risk increasing significantly after age 45.

The disease typically develops from polyps, which are abnormal growths in the colon. While most polyps are benign, some can turn cancerous over time, leading to malignant tumors. 

Colorectal cancer can progress and spread to other body parts without early detection and intervention, making it more challenging to treat it successfully.

Colonoscopy and early detection

A colonoscopy is a medical procedure that involves the examination of the colon and rectum using a flexible tube equipped with a camera called a colonoscope. It is considered the gold standard for detecting colorectal cancer because it allows doctors to visualize the entire colon length and identify any abnormal growths or polyps. The procedure is typically performed under sedation, ensuring patient comfort throughout. 

Do not hesitate: Medical advancements have significantly improved patient comfort and safety during colonoscopy. 

Dr. Wallace shares: “Everyone should be screened starting at age 45 and earlier if there is a family history of the disease.” Traditionally, colonoscopies were recommended for individuals at the age of 50. However, recent guidelines from medical organizations, including the American Cancer Society, recommend starting regular colonoscopy screenings five years earlier. This change is in response to the alarming rise in colorectal cancer cases among younger adults. By initiating earlier screenings, healthcare professionals aim to detect and treat the disease at its earliest stages, improving outcomes and potentially saving lives.

The primary purpose of a colonoscopy is to identify and remove polyps before they become cancerous or detect colorectal cancer in its early stages when it is most treatable.

This preventive measure significantly reduces the risk of those polyps developing into cancer. Moreover, early-stage colorectal cancer has a much higher survival rate if cancer is detected early, with effective treatment options available. When pre-cancerous polyps are discovered, they will be removed immediately through a simple procedure called polypectomy. The growth is snipped or burned at the base, which is often all the treatment needed. 

Risk factors and prevention 
Adopt a healthy diet rich in fruits, vegetables, and whole grains.

Several risk factors contribute to the development of colorectal cancer. While some factors, such as family history and genetic predisposition, cannot be changed, there are lifestyle modifications that can significantly reduce the risk. These include adopting a healthy diet rich in fruits, vegetables, and whole grains, engaging in regular physical activity, maintaining a healthy weight, limiting alcohol consumption, controlling stress, and avoiding tobacco products. 

Embracing a proactive approach to your health and adopting a healthy lifestyle can empower you to take control and safeguard yourself against this devastating disease. 

However, even with a healthy lifestyle, there is no foolproof way to eliminate the risk entirely. Hence, regular screenings like colonoscopies are crucial for everyone and should be repeated, preferably every five years. A colonoscopy can catch cancer at an early stage, providing the opportunity for effective treatment and potentially saving lives.

Overcoming the fear

For many people, the main problem with a colonoscopy is not the procedure itself, which is experienced in sedative-induced oblivion, but what comes beforehand. The “prep” typically involves drinking a solution and tablets that help empty your gut. “The hardest part for most people is clearing out their intestines,” says Dr. Wallace. However, it is important to recognize that medical advancements have significantly improved patient comfort and safety during colonoscopies. 

Dr. Michael Wallace, a gastroenterologist at the Mayo Clinic, says: “Everyone should be screened starting at age 45 or earlier if there is a family history of the disease.”

The bottom line 

A colonoscopy should be a non-negotiable procedure and part of your health screenings. Colorectal cancer is a significant threat; early detection can save your life. This screening allows doctors to identify and remove polyps before they turn cancerous or detect colorectal cancer in its early stages when it is most treatable. With recent guidelines recommending earlier screenings, overcoming fears or discomfort is crucial.

Embracing a proactive approach to your health and adopting a healthy lifestyle can empower you to take control and safeguard yourself against this devastating disease. 

Schedule your colonoscopy today. Bite the bullet. Your life span could depend on it.